To help prevent aspiration while feeding a patient who has a right-sided paralysis, the nurse includes which interventions? (Select all that apply.)
a. Place the patient in high Fowler's position.
b. Instruct the patient to tilt the head and neck forward.
c. Instruct the patient to drink liquids through a straw.
d. Place food in the left side of the mouth.
e. Avoid mixing foods with different tex-tures.
A, B, D, E
Drinking through a straw rather than sipping from a cup increases the risk for aspiration. All other options will reduce the risk of aspiration in a stroke victim.
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As the nurse listens to a supervisor, the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs. This is an example of a __________ posture
ANS:
The nurse is receiving report on a patient being admitted through the emergency department
The patient has emphysema and is receiving oxygen via a mask. He has a pulse oximetry reading ranging between 93% and 94%. The nurse anticipates that the patient is receiving oxygen via which type of mask commonly used for patients with COPD? A) A nonrebreathing mask B) A Venturi mask C) A simple mask D) A partial-rebreathing mask
The nurse is assessing a 6-month-old boy. Which of the following would be an abnormal finding, indicating possible cerebral palsy?
1. The infant can pull to a sitting position while holding onto an adult's hand. 2. The infant does not exhibit a Moro reflex. 3. The infant does not exhibit a Babinski's reflex. 4. The infant has an obligatory tonic neck flexion.
What does the student learn about the effects of long-term starvation?
a. Energy is supplied through glycogenolysis. b. Gluconeogenesis begins for energy requirements. c. Increase in inflammatory mediators. d. Use of ketone bodies for energy needs. e. Proteolysis begins in adipose tissue